Provider Demographics
NPI:1841601101
Name:KHAN, SHIREEN H (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIREEN
Middle Name:H
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S YORK ST STE 3280
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5638
Mailing Address - Country:US
Mailing Address - Phone:331-221-9095
Mailing Address - Fax:331-221-3996
Practice Address - Street 1:1200 S YORK ST STE 3280
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5638
Practice Address - Country:US
Practice Address - Phone:331-221-9095
Practice Address - Fax:331-221-3996
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH351336672084N0400X
IL0361634662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology